Deep Temporal Nerve Transfer for Facial Reanimation: Anatomic Dissections and Surgical Case Report

Mahan, Mark A.; Sivakumar, Walavan; Weingarten, David; Brown, Justin M.

doi:10.1093/ons/opx190

Cited by 6 publications

(12 citation statements)

References 15 publications

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“…The studies did a total of 123 dissections on 66 cadavers 6 , 7 , 8 , 9 , 11 (of which 2 unpreserved dissections 11 ) and 6 clinical operations. 2 , 10 Landmarks used were the infratemporal fossa (IFT), 7 , 8 , 9 infratemporal crest (ITC), 7 posterior deep temporal artery (PDTA), 7 zygomatic arch (ZA), 3 , 6 , 8 , 11 TM, 3 , 8 superior head of lateral pterygoid muscle (LPM), 9 jugal point (JP) 10 and the tragus. 6 , 11 …”

Section: Resultsmentioning

confidence: 99%

“…Of the included studies, five were cadaveric studies 6 , 7 , 8 , 9 , 11 , one clinical 2 and one a combination of a cadaveric study and a case report 10 . The studies did a total of 123 dissections on 66 cadavers 6 , 7 , 8 , 9 , 11 (of which 2 unpreserved dissections 11 ) and 6 clinical operations.…”

Section: Resultsmentioning

confidence: 99%

“…The number of DTN branches found was mentioned in 5 studies with a mean 2.82 and range 2–5, and Ali et al. was the only author reporting four or five branches 6 , 7 , 8 , 10 , 11 , 12 . Ali et al.…”

Section: Resultsmentioning

confidence: 99%

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Deep temporal nerve transfer: A systematic review of anatomy, anatomical landmarks and clinical applications

et al. 2022

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Deep temporal nerve transfer: A systematic review of anatomy, anatomical landmarks and clinical applications

et al. 2022

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“…This technique may reanimate the facial muscles with independent activation. 12 Experimentally, biodegradable metallic magnesium filaments, placed inside hollow nerve conduits, supported nerve repair by providing contact guidance support for axonal regeneration. With a nerve gap of 6 mm and 6 weeks post-repair, magnesium filaments had partially resorbed.…”

Section: Discussionmentioning

confidence: 99%

Facial Paralysis after Trauma: A Simplified Method to Find and Repair the Facial Nerve

Uyar¹,

Gürpınar²,

Arslanoğlu³

et al. 2018

Otolaryngol Open J

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This study aims to identify the digastric nerve as an alternative to access the facial nerve in case of post-traumatic facial nerve paralysis. Study design Retrospective study. Setting Tertiary care hospital. Subjects and Methods Eleven peripheric facial paralysis cases between 2005-2016 following trauma to the parotid gland are presented. Initial emergency treatments were done elsewhere but all returned back to treat facial paralysis after 11-18 months to our institute. The digastric nerve was identified and a facial-hypoglossal nerve anastomosis was performed. Results Pre-operative House-Brackmann scores were 6 for all cases. Post-operative scores were between 3 and 4. Pre-operative needle electromyography revealed no motor unit action potentials; after 7 months post-operatively, we had motor unit action potentials in every case. Conclusion In cases of trauma and secondary approaches of the parotid gland, a safe step for finding the facial nerve is to find the digastric nerve and follow it through the main trunk.

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“…Facial movements are observed as early as 4 months postoperatively and good facial function is usually achieved in about 12 months (Biglioli et al, 2017 ; Murphey et al, 2018 ). Alternatively, the middle deep temporal branches of the trigeminal nerve were recently proposed for facial reanimation, providing successful upper facial muscle reanimation with independent activation (Dauwe et al, 2016 ; Mahan et al, 2018 ). In the current review, we identified this technique after GTR of VS using the TRL approach by Hardy et al ( 1989 ; Table 3 ).…”

Section: Systematic Review Of the Literaturementioning

confidence: 99%

Clinical Studies and Pre-clinical Animal Models on Facial Nerve Preservation, Reconstruction, and Regeneration Following Cerebellopontine Angle Tumor Surgery–A Systematic Review and Future Perspectives

Hostettler

Jayashankar

Bikis

et al. 2021

Front. Bioeng. Biotechnol.

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Background and purpose: Tumorous lesions developing in the cerebellopontine angle (CPA) get into close contact with the 1st (cisternal) and 2nd (meatal) intra-arachnoidal portion of the facial nerve (FN). When surgical damage occurs, commonly known reconstruction strategies are often associated with poor functional recovery. This article aims to provide a systematic overview for translational research by establishing the current evidence on available clinical studies and experimental models reporting on intracranial FN injury.Methods: A systematic literature search of several databases (PubMed, EMBASE, Medline) was performed prior to July 2020. Suitable articles were selected based on predefined eligibility criteria following the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines. Included clinical studies were reviewed and categorized according to the pathology and surgical resection strategy, and experimental studies according to the animal. For anatomical study purposes, perfusion-fixed adult New Zealand white rabbits were used for radiological high-resolution imaging and anatomical dissection of the CPA and periotic skull base.Results: One hundred forty four out of 166 included publications were clinical studies reporting on FN outcomes after CPA-tumor surgery in 19,136 patients. During CPA-tumor surgery, the specific vulnerability of the intracranial FN to stretching and compression more likely leads to neurapraxia or axonotmesis than neurotmesis. Severe FN palsy was reported in 7 to 15 % after vestibular schwannoma surgery, and 6% following the resection of CPA-meningioma. Twenty-two papers reported on experimental studies, out of which only 6 specifically used intracranial FN injury in a rodent (n = 4) or non-rodent model (n = 2). Rats and rabbits offer a feasible model for manipulation of the FN in the CPA, the latter was further confirmed in our study covering the radiological and anatomical analysis of perfusion fixed periotic bones.Conclusion: The particular anatomical and physiological features of the intracranial FN warrant a distinguishment of experimental models for intracranial FN injuries. New Zealand White rabbits might be a very cost-effective and valuable option to test new experimental approaches for intracranial FN regeneration. Flexible and bioactive biomaterials, commonly used in skull base surgery, endowed with trophic and topographical functions, should address the specific needs of intracranial FN injuries.

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Deep Temporal Nerve Transfer for Facial Reanimation: Anatomic Dissections and Surgical Case Report

Cited by 6 publications

References 15 publications

Deep temporal nerve transfer: A systematic review of anatomy, anatomical landmarks and clinical applications

Deep temporal nerve transfer: A systematic review of anatomy, anatomical landmarks and clinical applications

Facial Paralysis after Trauma: A Simplified Method to Find and Repair the Facial Nerve

Clinical Studies and Pre-clinical Animal Models on Facial Nerve Preservation, Reconstruction, and Regeneration Following Cerebellopontine Angle Tumor Surgery–A Systematic Review and Future Perspectives

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